Charting a Path Forward for National Surveillance of Hospital-Onset Bacteremia and Fungemia - Takeaways - MDSpire
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Establishing a Framework for National Monitoring of Hospital-Acquired Bacteremia and Fungemia

  • By

  • Gregory M. Schrank

  • September 9, 2026

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  • 1

    Health care-associated infection rates in the US decreased by 27% from 2015 to 2023, reflecting improved patient safety measures.

  • 2

    Hospital-onset bacteremia and fungemia (HOB) has emerged as a new quality measure, addressing gaps in current HAI surveillance.

  • 3

    A study in Ontario found an overall HOB rate of 2.07 events per 1000 patient-days, with significant variation between hospitals.

  • 4

    Blood culture testing prevalence was independently associated with HOB rates, indicating its role in bloodstream infection diagnostics.

  • 5

    NHSN is transitioning to digital quality measures, aiming to enhance risk adjustment for HAI metrics like HOB through automated data linkage.

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